Environmental Toxic Agents Research Articles

An Examination of the Relationship Between Exposure to Bisphenol A and Attention-Deficit/Hyperactivity Disorder in Children and Adolescents.

Exposure to environmental toxic agents in the prenatal and/or postnatal periods may play in the acquired development of attention-deficit/hyperactivity disorder (ADHD) in groups with genetic risks. Bisphenol A (BPA) is a widely used industrial chemical with neurotoxic effects. This study examined the relationship between exposure to BPA and clinical ADHD. This cross-sectional, case-controlled clinical study compared 45 drug-naive children and adolescents with ADHD and 30 healthy controls in terms of serum BPA levels. Psychiatric comorbidities in the ADHD group were determined using the "Schedule for Affective Disorders and Schizophrenia for school-aged children, lifetime version." The Child Behavior Checklist (CBCL) was also administered to all participants. Serum BPA levels were significantly higher in the ADHD group than in the healthy control group. In addition, significant, weak positive correlation was found between BPA levels and CBCL attention and CBCL total problem scores. Our results show that BPA may be an environmental toxic agent with a potential role in the etiology of ADHD and particularly attention deficiency. Preventive interventions can be developed if this can be confirmed with longitudinal studies and repeated measurements.

Pragmatic Expectancy on Microbiota and Non-Small Cell Lung Cancer: A Narrative Review.

Simple SummaryGrowing evidence suggests that the microbiota—or better, the changes in microbiota composition and characteristics—plays a role in lung cancer onset and is associated with each phase of tumor progression. A relevant amount of data are now available and under investigation regarding the characterization of the microbiome associated with lung cancer. However, in some cases, they are redundant, and in many others, hyper specialist and technical. The goal of this review is to summarize and discuss the state of the art regarding the cross-talk between lung tumors and the microbial compartment and also to put into a clinical frame their mutual interaction and influence. This pragmatic approach will be of help for future diagnostic, therapeutic and prognostic purposes.It is well known that lung cancer relies on a number of genes aberrantly expressed because of somatic lesions. Indeed, the lungs, based on their anatomical features, are organs at a high risk of development of extremely heterogeneous tumors due to the exposure to several environmental toxic agents. In this context, the microbiome identifies the whole assemblage of microorganisms present in the lungs, as well as in distant organs, together with their structural elements and metabolites, which actively interact with normal and transformed cells. A relevant amount of data suggest that the microbiota plays a role not only in cancer disease predisposition and risk but also in its initiation and progression, with an impact on patients’ prognosis. Here, we discuss the mechanistic insights of the complex interaction between lung cancer and microbiota as a relevant component of the microenvironment, mainly focusing on novel diagnostic and therapeutic objectives.

IoT enabled environmental toxicology for air pollution monitoring using AI techniques

In past decades, the industrial and technological developments have increased exponentially and accompanied by non-judicial and un-sustainable utilization of non-renewable resources. At the same time, the environmental branch of toxicology has gained significant attention in understanding the effect of toxic chemicals on human health. Environmental toxic agents cause several diseases, particularly high risk among children, pregnant women, geriatrics and clinical patients. Since air pollution affects human health and results in increased morbidity and mortality increased the toxicological studies focusing on industrial air pollution absorbed by the common people. Therefore, it is needed to design an automated Environmental Toxicology based Air Pollution Monitoring System. To resolve the limitations of traditional monitoring system and to reduce the overall cost, this paper designs an IoT enabled Environmental Toxicology for Air Pollution Monitoring using Artificial Intelligence technique (ETAPM-AIT) to improve human health. The proposed ETAPM-AIT model includes a set of IoT based sensor array to sense eight pollutants namely NH3, CO, NO2, CH4, CO2, PM2.5, temperature and humidity. The sensor array measures the pollutant level and transmits it to the cloud server via gateways for analytic process. The proposed model aims to report the status of air quality in real time by using cloud server and sends an alarm in the presence of hazardous pollutants level in the air. For the classification of air pollutants and determining air quality, Artificial Algae Algorithm (AAA) based Elman Neural Network (ENN) model is used as a classifier, which predicts the air quality in the forthcoming time stamps. The AAA is applied as a parameter tuning technique to optimally determine the parameter values of the ENN model. In-order to examine the air quality monitoring performance of the proposed ETAPM-AIT model, an extensive set of simulation analysis is performed and the results are inspected in 5, 15, 30 and 60 min of duration respectively. The experimental outcome highlights the optimal performance of the proposed ETAPM-AIT model over the recent techniques.

Reducing Prenatal Exposure to Toxic Environmental Agents: ACOG Committee Opinion, Number 832.

There is emerging evidence that links exposure to toxic environmental agents and adverse reproductive and developmental health outcomes. Toxic exposures related to reproductive and developmental health primarily have been associated with infertility and miscarriage, obstetric outcomes such as preterm birth and low birth weight, neurodevelopmental delay such as autism and attention deficit hyperactivity disorder, and adult and childhood cancer. Although there is substantial overlap in the type of exposure and the associated health outcomes, for the purposes of this document, exposures generally can be grouped into the following categories: toxic chemicals, air pollution, and climate change-related exposures. Obstetric care clinicians do not need to be experts in environmental health science to provide useful information to patients and refer patients to appropriate specialists, if needed, when a hazardous exposure is identified. It is important for obstetrician-gynecologists and other obstetric care clinicians to become knowledgeable about toxic environmental exposures that are endemic to their specific geographic areas, such as local water safety advisories (eg, lead-contaminated water), local air quality levels, and patients' proximity to power plants and fracking sites. Although exposure to toxic environmental agents is widespread across populations, many environmental factors that are harmful to reproductive health disproportionately affect underserved populations and are subsumed in issues of environmental justice. Clinical encounters offer an opportunity to screen and counsel patients during the prepregnancy and prenatal periods-particularly individuals most disproportionately affected-about opportunities to reduce toxic environmental health exposures. This Committee Opinion is revised to integrate more recent literature regarding reducing prepregnancy and prenatal toxic environmental exposures.

Reducing Prenatal Exposure to Toxic Environmental Agents: ACOG Committee Opinion Summary,Number 832.

There is emerging evidence that links exposure to toxic environmental agents and adverse reproductive and developmental health outcomes. Toxic exposures related to reproductive and developmental health primarily have been associated with infertility and miscarriage, obstetric outcomes such as preterm birth and low birth weight, neurodevelopmental delay such as autism and attention deficit hyperactivity disorder, and adult and childhood cancer. Although there is substantial overlap in the type of exposure and the associated health outcomes, for the purposes of this document, exposures can be generally grouped into the following categories: toxic chemicals, air pollution, and climate change-related exposures. Obstetric care clinicians do not need to be experts in environmental health science to provide useful information to patients and refer patients to appropriate specialists, if needed, when a hazardous exposure is identified. It is important for obstetrician-gynecologists and other obstetric care clinicians to become knowledgeable about toxic environmental exposures that are endemic to their specific geographic areas, such as local water safety advisories (eg, lead-contaminated water), local air quality levels, and patients' proximity to power plants and fracking sites. Although exposure to toxic environmental agents is widespread across populations, many environmental factors that are harmful to reproductive health disproportionately affect underserved populations and are subsumed in issues of environmental justice. Clinical encounters offer an opportunity to screen and counsel patients in during the prepregnancy and prenatal periods-particularly individuals most disproportionately affected-about opportunities to reduce toxic environmental health exposures. This Committee Opinion is revised to integrate more recent literature regarding reducing prepregnancy and prenatal toxic environmental exposures.

The Hidden Danger of Environmental Chemicals during the “Windows of Susceptibility” in a Woman’s Life – How can we use Intermediate Biomarkers to Improve Breast Cancer Prevention?

Introduction: It has been observed that many toxic environmental agents increase risk, accelerate development, or deteriorate the course of breast cancer (BC). In particular, endocrine-disrupting chemicals (EDC) are harmful to endocrine receptor actions and signaling in the breast tissue. Usually, there is a long interval of time between the exposure to EDC and BC incidence, and this often represents a serious obstacle for effective BC prophylaxis. Notably, during certain periods of a woman’s life cycle, the BC risk is particularly elevated due to increased susceptibility to some EDC. These windows of susceptibility (WOS) include prenatal, puberty, pregnancy, and menopausal transition stages of a female’s life course. Four WOS have been considered as the most vulnerable periods for BC since the mammary gland undergoes the main anatomical and physiological transformations at those intervals. This means that during specific WOS, the EDC from the environment can have the most dangerous impact on BC risk and possible BC development later in a woman’s life. However, most clinical BC studies related to toxic environmental exposures have not been connected to the specific WOS. Therefore, the goal of this article is to briefly describe some important research results, focused on the links between EDC and BC, within four critical WOS. In addition, this mini-review outlines some useful biomarkers for further research and prophylaxis of BC and also for both the research community and the medical professionals. Conclusion: To bridge the gap in BC prevention, it is essential to recognize the links between EDC and BC within the critical WOS. Moreover, an integrative model of BC research, applying intermediate biomarkers, is necessary to determine the mechanisms of action of various EDC during critical periods in a woman’s lifespan. Hopefully, this will lead to progress in BC prevention.

Gut Microbiome Toxicity: Connecting the Environment and Gut Microbiome-Associated Diseases.

The human gut microbiome can be easily disturbed upon exposure to a range of toxic environmental agents. Environmentally induced perturbation in the gut microbiome is strongly associated with human disease risk. Functional gut microbiome alterations that may adversely influence human health is an increasingly appreciated mechanism by which environmental chemicals exert their toxic effects. In this review, we define the functional damage driven by environmental exposure in the gut microbiome as gut microbiome toxicity. The establishment of gut microbiome toxicity links the toxic effects of various environmental agents and microbiota-associated diseases, calling for more comprehensive toxicity evaluation with extended consideration of gut microbiome toxicity.

Chapter 29 - Environmental toxic agents: The impact of heavy metals and organochlorides on brain development

Exposure to environmental toxicants can have deleterious effects on the development of physical, cognitive, and mental health. Extensive laboratory and clinical studies have demonstrated how the developing brain is uniquely sensitive to toxic agents. This chapter focuses on the main neurologic impairments linked to prenatal and postnatal exposure to lead, methylmercury, and polychlorinated biphenyls, three legacy environmental contaminants whose neurotoxic effects have been extensively studied with respect to cognitive and behavioral development. The main cognitive, emotion regulation, sensory, and motor impairments in association with these contaminants are briefly reviewed, including the underlying neural mechanisms such as neuropathologic damages, brain neurotransmission, and endocrine system alterations. The use of neuroimaging as a novel tool to better understand how the brain is affected by exposure to environmental contaminants is also discussed.

Ammonia inhalation impaired immune function and mitochondrial integrity in the broilers bursa of fabricius: Implication of oxidative stress and apoptosis.

Ammonia (NH3) is considered as environmental pollutant and toxic agent for animals and humans including poultry. Previous reports demonstrated that NH3 suppressed broilers immunity. However, the harmful effects of NH3 on broilers bursa of fabricius (BF) is still unknown. Functionally, apoptosis is very important for many physiological processes including homeostasis of lymphocyte population. Therefore, the present study was aimed to investigate the underlying mechanisms of NH3 toxicity in the broilers BF. Histological observation showed lymphocyte accumulation, cavities and increased interstitial cells in BF. Ultrastructural observation indicated mitochondrial vacuoles, deformation and disappearance of mitochondrial membranes. Oxidative stress markers (CAT, MDA, H2O2, GGT, GSH-Px and GSH) showed that NH3-induced oxidative stress in BF. Meanwhile, Terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay revealed increased apoptotic cells. In addition, the mRNA and protein expression of dynamin-related protein 1 (Drp1), mitochondrial fission factor (Mff), mitofusin 1 and 2 (Mfn1 and Mfn2), optic atrophy 1 (Opa1) indicated imbalance between mitochondrial inner and outer membrane and results in mitochondrial dysfunction in broilers BF. The mRNA and protein expression of apoptosis-related genes including Caspase-3, Caspase-9, Caspase-8, Cytochrome-C (Cyt-C), p53, B-cell lymphoma 2 (Bcl-2) and Bcl-2 associated X protein (Bax) were significantly altered in broilers BF. Conclusively, these results displayed that excessive NH3 causes BF damage and mitochondrial dysfunction through oxidative stress and apoptosis in BF and could affect immune function of BF. These findings provide possible therapeutic targets to prevent NH3 induced toxicity in the BF of broilers.

Biofunctional Textiles for Aging Skin.

The skin is the largest organ in the human body, acting as the first protective barrier against the external environment aggression, such as UV rays and atmospheric nanoparticulate pollutants. On the one hand, the skin employs different antioxidant agents to protect its natural oxidative balance. On the other hand, ageing phenomena are the main cause of skin barrier damages, leading to a disequilibrium in the physiological redox system. Thus, the necessity to find new innovative cosmetic means, such as biodegradable non-woven tissues able to load, carry and release active ingredients in the right skin layers. These innovative cosmetic tissues can not only protect the skin from toxic environmental agents, but may balance the natural skin barrier, also acting as anti-aging agents when their fibers are bound to the right ingredients. The proposed tissues, consisting of polysaccharide natural fibers made of chitin nanofibrils and nanochitin, seem to be an ideal candidate for the production of new and effective biofunctional textiles, also because they are able to mimic the skin’s extra cellular matrix (ECM) when electrospun. These innovative cosmeceuticals have shown the possibility of being used for food formulations as well as for topic anti-aging agents, having shown an interesting repairing effectiveness on skin and also on hair. Thus, they could be used both as active ingredient and as skin smart active carriers in substitution of normal emulsions, being also biodegradable, free of chemicals, and obtainable from waste material.

White Blood Cell Indices and Health Parameters of Workers in Industrial and Urban Areas

Background. Working far from urban domains exposes workers to harsh environmental hazards like air pollutants and harmful byproduct emissions. Site workers often are exposed to harmful agents and may suffer from dangerous health disorders. The aim of this study is to estimate the hazard level posed by these conditions through clinical examination of assays taken at the State Company of Fertilizers, Southern Region, in the Basra governorate of the city of Iraq. Methods. A study was conducted on 35 workers from both the State Company of Fertilizers (Southern Region) and Basrah University. The study involved an inquiry into the occupational history, chronic illnesses, and smoking habits of participants, along with a physical examination of arterial blood pressure, heart rate, body temperature, and oxygen saturation (SpO2). A complete blood picture (CBP) test was given to all study participants to obtain WBCs, while serum was assessed for liver (ALT) and (AST). Results. The study showed a higher incidence of hypertension and diabetes among urban workers than among industrial workers, while 14% more industrial workers underwent surgical operations and 29% had fillings of dental caries and showed a non-significant rise in body temperature when compared with urban workers. Industrial employees had a highly significant increase (P≤0.001) in systolic blood pressure. Both groups of workers had uniformly decreased monocyte levels, while total WBCs and granulocytes were non-uniformly distributed, except for lymphocytes. Data showed a highly significant decrease (p≤0.005) in the monocytes of industrial workers, while a general decrease was present in all other WBC parameters, though with no statistical significance (P≥0.05). Liver function tests showed abnormalities in 42% of the industrial workers (ALT 36 U/L), while 92.8% were suggestive of chronic hepatitis or steatosis due to a ratio of less than 1 in AST : ALT levels. Conclusion. Decreased WBCs (leukopenia) and health problems, along with markers of liver dysfunction, are potential health hazards faced by workers in the fertilizer industry. Maintenance and site equipment engineers had recurrent longterm exposure to ammonia gases and toxic environmental agents. The findings of this clinical surveillance are significant; however, studying the etiological factors and subsequent pathogenicity remains necessary. Keywords: White blood cell indices, industrial, urban

Protective effect of lycopene against chemical and natural toxins: A review.

People are exposed to a number of environmental, occupational, and therapeutic toxic agents which may be natural or man made. These hazardous substances may manifest as direct side effects on the function of organs or indirectly induced alteration of gene expression, cancer-associated metabolic pathways, and/or alter homeostasis. Lycopene, as a one of the most potent antioxidant, is found in fruits and vegetables. High-intake of lycopene has been shown to be effective in decreasing the risk of both natural toxins including mycotoxins, bacterial toxins, and chemical toxins including heavy metals, pesticides as well as herbicides. Recently, there is growing attention in understanding the mechanisms of the phytochemicals and carotenoids as antioxidative, antiapoptotic, radical scavenging, and chelating agents and their roles in the modulation of inflammatory pathways. This review summarizes available data from several recent studies about lycopene and its role against chemical and natural toxicants. © 2018 BioFactors, 45(1):5-23, 2019.

Characterization of respiratory infection viruses in hospitalized children from Naples province in Southern Italy.

Most acute respiratory infections (ARIs) in children are due to viral etiology, and represent an important cause of mortality and morbidity in children <5 years old in developing countries. The pathogens that cause ARIs vary geographically and by season, and viruses serve a major role. In the present study, the distribution of the seven respiratory viruses that are more prevalent in Southern European countries were retrospectively analyzed in a Southern Italy Hospital, that centralizes pediatric diseases from the Naples province. Viruses were categorized by a FilmArray Respiratory Panel, and demonstrated no substantial differences in sex, age and seasonal viruses distribution. However, all the investigated viruses had a higher detection rate in the surrounding municipalities than in the metropolitan area of Naples. In recent years, the association between air pollution and respiratory infections has become an increasing public health concern. The data in this study support this association in the surrounding areas of Naples extensively contaminated by environmental toxic agents. In these areas, characterization of the epidemiology of ARIs is required to implement a prevention and control program.

Obgyn physician screening for environmental exposures (OSEE): a call for action

Women are exposed to many toxic environmental agents. OBGYNs can help prevent exposures to environmental chemicals. ACOG, ASRM, and FIGO recommend routinely screening for environmental, occupational, and dietary exposures. Our objective was to determine the frequency of environmental exposure screening by obstetricians and gynecologists at initial patient visits.

Ameliorative Effects of Red Lentil Extract on Sodium Arsenite-induced Oxidative Stress in Rats

Background: Arsenic is a potent environmental toxic agent and leads to the development of various hazardous effects on human health. All human populations are exposed to arsenic and its compounds through occupational or environmental processes. Epidemiological studies also suggested that lentils through a numerous biological activities including antioxidant, anticancer, angiotensin-converting enzyme inhibition, as well as reducing blood lipid and the risk of cardiovascular diseases admit protection against chronic diseases. Objectives: The current study aimed at assessing the protective effect of the red lentil extract (RLE) on sodium arsenite (SA) induced oxidative stress in animals. Methods: Twenty-four Wistar male rats were divided into 4 groups. The first group (control group) received normal saline (2 mL/kg) per os for 25 days. Groups 2 - 4 were treated with SA (10 mg/kg) per os for 10 days; and the groups 3 and 4 received 100 and 200 mg/kg of RLE per os for 15 days, respectively, after treatment with SA. Results: Results showed that total phenolic content in crude RLE was 50.6 mg catechin equivalent/g of dry weight. In SA treated groups, serum activities of aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), and lipid peroxidation (MDA) in the liver increased. Whereas, the activity of superoxide dismutase (SOD) and catalase and the content of sulfhydryl groups (SH-groups) significantly decreased in liver in the intervention group, compared with those of the control group (P < 0.05). Treatment with RLE reduced the serum level of AST, ALT, and ALP and the level of MDA in the liver, while the activity of the antioxidant enzymes and the level of SH-groups increased. Conclusions: It can be concluded that RLE restored the activity of antioxidant enzymes and serum markers in SA-treated rats, probably by scavenging free radicals and reducing oxidative stress as an antioxidant. © 2017, Jundishapur Journal of Natural Pharmaceutical Products.

Regional Variation in the Incidence of Congenital Hypothyroidism in Macedonia.

The incidence of congenital hypothyroidism (CH) is increasing in different areas around the world. Potential causes include changes in population ethnic composition, environmental factors, changing screening program methodology and lowering of TSH cutoff levels. The incidence of CH in different regions of Macedonia has not been evaluated before. A total of 251,008 newborns from all eight regions in the country have been screened between 2002 and 2015, by measurement of the thyroid-stimulating hormone (TSH) from blood spots, sampled 48-72 h after birth, using the DELFIA assay. Overall CH incidence confirmed at birth was 1/1976. The highest CH incidence was observed in the Vardar region (1/970), while the Eastern region had the lowest incidence (1/4202; p=0.021). In the other regions, the following CH incidence was detected: Northeastern 1/1459, Pelagonia 1/1627, Polog 1/1444, Skopje 1/2430, Southwestern 1/3226, and Southeastern 1/1843. Interestingly, in the Vardar region, 4.44% of the screened newborns had a TSH concentration > 5 mIU/L, as an indicator of regional iodine deficiency, compared to the Eastern region where 1.66% of newborns had a TSH > 5 mIU/L. The higher CH incidence in some of the regions may be due to increasing exposure to environmental toxic agents and/or deficient iodine intake. Further research into the potential environmental determinants of increased CH risk is warranted.

Ultraviolet radiation-induced carcinogenesis: Mechanisms and experimental models

Ultraviolet radiation (UVR) is a very prominent environmental toxic agent. UVR has been implicated in the initiation and progression of photocarcinogenesis. UVR exposure elicits numerous cellular and molecular events which include the generation of inflammatory mediators, DNA damage, epigenetic modifications, and oxidative damages mediated activation of signaling pathways. UVR-initiated signal transduction pathways are believed to be responsible for tumor promotion effects. UVR-induced carcinogenic mechanism has been well studied using various animal and cellular models. Human skin-derived dermal fibroblasts, epidermal keratinocytes, and melanocytes served as excellent cellular model systems for the understanding of UVR-mediated carcinogenic events. Apart from this, scientists developed reconstituted three-dimensional normal human skin equivalent models for the study of UVR signaling pathways. Moreover, hairless mice such as SKH-1, devoid of Hr gene, served as a valuable model for experimental carcinogenesis. Scientists have also used transgenic mice and dorsal portion shaved Swiss albino mice for UVR carcinogenesis studies. In this review, we have discussed the current progress in the study on ultraviolet B (UVB)-mediated carcinogenesis and outlined appropriate experimental models for both ultraviolet A- and UVB-mediated carcinogenesis.

Microarray based gene expression analysis of Sus Scrofa duodenum exposed to zearalenone: significance to human health.

BackgroundZearalenone (ZEA) is a secondary metabolite produced by Fusarium species. ZEA was proved to exert a wide range of unwanted side effects, but its mechanism of action, particularly at duodenum levels, remains unclear. In our study based on the microarray technology we assessed the alteration of gene expression pattern Sus scrofa duodenum which has been previously exposed to ZEA. Gene expression data was validated by qRT-PCR and ELISA. The gene expression data were further extrapolated the results to their human orthologues and analyzed the data in the context of human health using IPA (Ingenuity Pathways Analysis).ResultsUsing Agilent microarray technology, we found that gene expression pattern was significantly affected by ZEA exposure, considering a 2-fold expression difference as a cut-off level and a p-value < 0.05. In total, we found 1576 upregulated and 2446 downregulated transcripts. About 1084 genes (764 downregulated and 751 overexpressed) were extrapolated to their human orthologues. IPA analysis showed various altered key cellular and molecular pathways. As expected, we observed a significant alteration of immune response related genes, MAPK (mitogen activate protein kinases) pathways or Toll-Like Receptors (TLRs). What captured our attention was the modulation of pathways related to the activation of early carcinogenesis.ConclusionsOur data demonstrate that ZEA has a complex effect at duodenum level. ZEA is able to activate not only the immune response related genes, but also those relate to colorectal carcinogenesis. The effects can be more dramatic when connected with the exposure to other environmental toxic agents or co-occurrence with different microorganisms.Electronic supplementary materialThe online version of this article (doi:10.1186/s12864-016-2984-8) contains supplementary material, which is available to authorized users.

Endocrine Disruptors: A Potential Risk Factor for Gestational Diabetes Mellitus.

Gestational diabetes mellitus (GDM) has increased dramatically in the past 20 years together with the obesity epidemic. Mirroring the increase in incidence of GDM is increasing use of endocrine disrupting chemicals (EDCs). EDCs are structurally similar to endogenous hormones and interfere with synthesis, secretion, activity, or elimination of natural hormones, resulting in adverse health effects, including diabetes, obesity, developmental disorders, etc. Although the association between bisphenol A (BPA), a well-studied EDC, and type 2 diabetes has been repeatedly investigated in epidemiological and animal studies, there is a dearth of studies examining EDCs and GDM. In fact, the impact of environmental toxins on perinatal health outcomes has largely been overlooked.Recognizing this research gap, the American College of Obstetricians and Gynecologists, American Society for Reproductive Medicine, and International Federation of Gynecology and Obstetrics recently joined leading scientists and clinicians in a call for action to prioritize research in the consequences of exposure to toxic environmental agents on women's health. Evidence is emerging to suggest signaling molecules and EDCs are involved in the control of microRNA (miRNA) expression in trophoblast cells. We reviewed existing scientific evidence of EDCs as a risk factor for GDM as well as the potential role of miRNA in this association.

Environmental exposure to arsenic and chromium in children is associated with kidney injury molecule-1

Environmental hazards from natural or anthropological sources are widespread, especially in the north-central region of Mexico. Children represent a susceptible population due to their unique routes of exposure and special vulnerabilities. In this study we evaluated the association of exposure to environmental kidney toxicants with kidney injury biomarkers in children living in San Luis Potosi (SLP), Mexico. A cross-sectional study was conducted with 83 children (5–12 years of age) residents of Villa de Reyes, SLP. Exposure to arsenic, cadmium, chromium, fluoride and lead was assessed in urine, blood and drinking water samples. Almost all tap and well water samples had levels of arsenic (81.5%) and fluoride (100%) above the permissible levels recommended by the World Health Organization. Mean urine arsenic (45.6ppb) and chromium (61.7ppb) were higher than the biological exposure index, a reference value in occupational settings. Using multivariate adjusted models, we found a dose-dependent association between kidney injury molecule-1 (KIM-1) across chromium exposure tertiles [(T1: reference, T2: 467pg/mL; T3: 615pg/mL) (p-trend=0.001)]. Chromium upper tertile was also associated with higher urinary miR-200c (500 copies/μl) and miR-423 (189 copies/μL). Arsenic upper tertile was also associated with higher urinary KIM-1 (372pg/mL). Other kidney injury/functional biomarkers such as serum creatinine, glomerular filtration rate, albuminuria, neutrophil gelatinase-associated lipocalin and miR-21 did not show any association with arsenic, chromium or any of the other toxicants evaluated. We conclude that KIM-1 might serve as a sensitive biomarker to screen children for kidney damage induced by environmental toxic agents.